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Organization
SOUTHSIDE OB-GYN PC
Active
Organization
SOUTHSIDE OB-GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOCELYN FOREHAND MJ,CMPE, CPC (CEO)
(317) 865-3600
Entity
Organization
Contact information
Practice address
8051 S EMERSON AVE STE 400, INDIANAPOLIS, IN 46237-8633
(317) 865-3600
(317) 885-3850
Mailing address
8051 S EMERSON AVE STE 400, INDIANAPOLIS, IN 46237-8633
(317) 865-3600
(317) 885-3850
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100047770
—
IN
Enumeration date
04/25/2007
Last updated
12/19/2018
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